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Permit 760 Redfin Drive CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001855 Date 11/jo/og Property Address . . . . . . 760 REDFIN DR Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . ---------------------- 0 Application desc ------------------------------------------------------ CONCRETE TO PAVERS/DRIVEWAY ---------------------------------------------------------------------------- Owner Contractor WOJNAROWICz ------------------------ 760 REDFIN DRIVE OWNER ATLANTIC BEACH FL 32233 ------ - - - - - - -------- ------ Permit DRIVEWAY PERMIT----------------------------------- Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . . 00 Expiration Date . . 5/09/10 0 ------- ----- --- -------- Special Notes and Comments--------------------------------------------- Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible . ---------------------------------------------------------------------------- Fee-summary------ Charged Paid Credited Due --- ------- ------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach Building Department APPLICATION'NiUMBER (To be 14 ed' ' ' . - . . 800 Seminole Road assign 1he-BuIldl Atlanta Beach,Florida 32233-5445 Phone(-904)247-5826 - Fax(904)247-5845 E-mail: building-dept6coab.us Date Muted." City web-site: httP:/ANww.coab.us APPLICATION REVIEW AND TRACKING CORM f1l Property Address: -710 Department revi 0 X4 Building Applicant: Planning&Zoninq Project." A inis Pubi U 'PA V pu FI Other Agency Rwbw or pejnnit Required Review or Remlpt of I Date Florida Dept.of EnvironmentEd Protection Of P*fMft Veriffed Florida Dept of TransPortation SL Johns River Water danagarrant DMict _Army Coqx Of Engineers copy Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other 77- APPLIC I 11§TATUS Reviewing Department First Review: I PLO EF ]Denied. (CirrJe one.) Comments: BUILDING PLANNING&ZONING Reviewed by.4�p� Date:_41 TREE ADMIN. Second Review. DApproved as revised. E]Denied. PUBLIC WORKS Comments: PUB I UTILITI S PU LIC iLL lu Reviewed by: Date: FIR VICES Third Review: ElApproved as revised. FIDenied. Comments: Reviewed by: Date: Rovi"d WINN Public Utilities — Distribution & Collection Date: Initials: Pro,Ject Name/Address: ­. Application/Permit #: Check BOx Application Tracking Comments To Add commpnt Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. Iffield coordination is needed, call 247- 5834. Ensure all meter boxes, sewer cleariouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line, Cleanout niust be covered with an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or ifthere is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. Ifplans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate backflow preventer installed. Backflow preventer must he tested by a certified tester and 0 a copy of the results sent to Public Utilities. Iffir i e sprinkler system Is provided, contact Malcolm Clemons at 247-5839 for backflow I re.q-uire I ments. At a minimum, will require double check backflow preventer, Fire iines must be metered with a Sensus touch-read meter. Meters larger than 2" must be installed in a vault as, noted in JEA specifications, n ............ CITY OF ATLANTIC BEACH CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS Boo Seminole Road 904-247-5800 Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date- 1010 10a �PERMIT# ISSU Job Address AD bpFo.4 ISSUEDBYTHECITY Permitee: Y�&% Telephone Permittee Address: Requesting Permission to Construct: Vc 0ory if P&vr-VL Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( No Date: Bell South Telephone Company Yes No Date: Ferrell Gas Yes No Date: Comcast Yes No Date: 2. Whenever necessary for the construction, repair, improvement maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement-as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or* relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Be7g Department of Transportation Standards and be ,1),r performed under the supervision of 470d?� (Contractor's Project Superintendent) located at Telephone* 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase In impGrylous area on owner's lot or in the cftv RI;ght of Way,,are to be included with this apolication. 7. This permittee shall comMence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurr'ed in the area that would affect the permitted construction. a. It is understood and agreed-that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: . 1 -2- Before,me this Date: al V in the County of Du State Of Florida,has rao y ap�eared SH LEY L GRAHAm Notary Public at Large F idafou of uy i. 818ta of Florlde my commission expir A Exom Feb 14,2010 Produced 1 0 n0'%mMb*n#DD 518533 Bonded ey Na- a'l N - 09/25/97 THU 13:59 FAX 904 354 0077 BROWN OBRINGER IR1001 MAP SHOWING BOUNDARY SURVEY OF LOT 15, BLOCK S. ROYAL PALMS UNIT TWO, AS RECORDED IN PLAT BOOK 30. PAGES 94 AND 94A, OF THE CURRENT PUBLIC RECORD'S OF DUVAL COUNTY.-FLORIDA. CERTIFIED TO: JOHN ONORZJCKA BANK OF ST. AUGUSTINE LAWYERS TIlLE INSURANCE FUND, INC. DALE BEARDSLEY. P.A, REDFIN DRIVE (00.0'F40HT OF WAY) S 85.3'r274 E - x r9v,,p Ir OWN mpe No fl�NmCATXW Lu > p Iwo) vs 2S Ar cj CL b 240 wi;l 61 CA - i CD sc ONE STORY I MASONRY co OT 14 POSTED # 760 LOT x 4 -ft BLOCK 9 -:)'5 C-h Z -"i A: 24,8' :17.4! of - 16� LOT 15 ISO BLOCK 9 _.;�Ir-66�4AQE AND U-nUTT EAMM� No 9f"*, NO INNIVICArON "u""7" ,�"§cj '*1Q, LOT 8 BLOCK 9 411 A132rm n=--­ � LMM: —X FENCE coNCRETE NOTES! i. REARNM ARE BASED ON TtJZ PLAT _99ATN'. or ALZING T4F REVISIONS SOLIMERLY mHT or WhY LWE 2. PY GRAPWC PLOTTINC ONLY THE rAPTIONED LANUS LIE WITHUN FLOOD ZDNE x AS !J�THE NATIONAL FLOOD INSURANCE MAP DATED APRIL 17; 1939, COMMUNITY flUMBEF 12oo'ld. IANCL wtrwTq rw MAY A41 PER RE';OR%0TD f'-.AT hlop nTLE COMWIUENI R.O.W.Permit Attachment of for R.O.W.Permit# i�s­u� 200 Atlantic Beach,FL 32233 Owner's Name: �)o i iv, a—r 6 L0 i I'-?-- Property Address: Subdivision: Lot#/Block#: R.E.#: REVOCABLE ENCROACMofENT PERJ�HT TMS REVOCABLE ENCROACHMENT PERMIT, issued on this day of 20Q_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of th State of Florida,hereinafter referred to as"CITY" and of Atlantic Beach,Florida,hereinafter referred to as"USER!'. WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30) days notice by CITY to the USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address: The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by tile permit shall meet the current requirements of the City Code, Building Codes,Land Development Code, and all other land use and code requirements of the CITY,including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall, at the discretion of the CITY,be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this pen-nit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of 200q Propeiq Otner (to be signed in prese of the Notary) STATE OF FLORIDA COUNTY F DUVAL On this day of Nov 2001 personally appeared before me, a Notary Public in and for said County and State, the property owner of ' Atlantic Beach, Florida, known to me to be the person(s) Mdandand who executed the foregoing instrument; who acknowledged to me that he or she ed the e ft ol arily and for the uses and purposes therein mentioned. rib ec, ed the e I vol tanly an( S t Notary Public in ftsaid Co aand ta e SHIRLEY L.GRAHAIM6 Notary Pubk-State of Florida 04 Commission Expkw Feb 14.2010 CITy OF ATLANTIC BEACH,FLO A, CornrNssion#DD 518533 municipal corporation: Bonded By National Notary Am. Approved: Ricky L. Carper,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson,City 4anag-.r Page 2 of 2 City of Atlantic Beach APPLICATION NUMBER. a (TO be assignedjW the Building P Building Department Portm ant 800 Seminole Road Atlantic Beach,Florida 32233- Phone(904)247-5826 - Fax(904)247- Date rduw E -dept@coab.us d. -mail: building L11 City web-site: hftp:/Avww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: —/67 Department review required Yes No Building Applicant: Planning&Zoning T nistrator Project: V,k 4V Public Works U I as Pubric ga-lit–y Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept.of Environmental Protection Florida Dept of Transportation St.Johns River Water Management Distdct Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other APPUCATION STATUS Reviewing Department First Review: RApproved. []Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Data TREE ADMIN. Reviewed by_/ Second Revisyr. ElApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: —Date: FIRE SERVICES Third Review: [:jApproved as revised. E]Denled. Comments: Reviewed by: —Date: RgAsed 05f14109